Cutaneous invasion of the facial vicinity by using the nasal hollow space and paranasal sinuses tumors or necrotizing facial
infections are uncommon. Skin involvement via basal cellular or squamous cell carcinomas originating in the pores and
skin of the face is greater not unusual.The aim of the study early outcome and patient satisfaction by Nasal and Cheek
Reconstruction with Flaps. The study was carried out that included patients with defects in the nasal region and in the
cheek caused by oncological resections for malignant tumors and necrotizing facial infections and conducted at Sri
Lakshmi Narayana Institute of Medical sciences, Pondicherry. Seven patients were treated, six for malignant tumors and
one for a necrotizing facial infection, which required reconstruction with local and regional flaps.There were five men and
two woman, the average age was 75.53 years.The location of the malignant tumors was the nasal cavity and paranasal
sinuses (4/7) and the skin of the nose (3/7).7 reconstructions were done (one patient had a recurrence post maxillectomy
and reconstruction and needed a new excision with another reconstruction two years later and another had a recurrence 16
months after a rhinectomy, for which a new excision of the tumor and another reconstruction was performed).In 5,
reconstructions were made with more than one flap, due to facial defects that compromised the upper lip and nose (2/7),
and the cheek and nose (3/7). We accept as true with that the usage of these flaps remains the quality alternative for
reconstruction of these regions due to their awesome vascularization, reliability and few headachesddd |